Adult Health Department, School of Nursing and Midwifery, College of Health and Allied Sciences, 63726University of Cape Coast, Cape Coast, Ghana.
Division of Nursing and Midwifery, Faculty of Health Sciences, 63726University of Cape Town, Cape Town, South Africa.
Int J STD AIDS. 2022 Jan;33(1):81-87. doi: 10.1177/09564624211046995. Epub 2021 Oct 10.
Uptake of services and retention throughout the Prevention of Mother-to-Child Transmission continuum are necessary to achieve the goal of reducing Mother-to-Child Transmission of Human Immunodeficiency Virus (HIV). Adopting a retrospective cohort design, we tracked the uptake of services in a district hospital in Ghana from antenatal booking through to six weeks postnatal when early infant diagnosis was conducted. Of the 1252 pregnant women booked antenatally, 94.1% ( = 1178) received pre-test counselling, 96.3% (1134) opted for HIV testing and 3.8% ( = 43) women tested positive for HIV throughout the continuum. The retention rate at six weeks postpartum was 67.4%. Missed opportunities occurred throughout the programme and the highest disengagement, 58.9% (23/39) occurred antenatally. Instances of re-engagement were also recorded. Establishing measures to promote retention throughout the programme is critical to ensuring HIV-infected mothers maintain their health and their exposed newborns are HIV-free. This phase of the study provided a comprehensive view of retention in the absence of any baseline.
为了实现降低人类免疫缺陷病毒（HIV）母婴传播的目标，有必要在预防母婴传播连续体中获得服务并保持服务。本研究采用回顾性队列设计，跟踪加纳一家地区医院从产前预约到婴儿出生后 6 周进行早期婴儿诊断期间服务的获得情况。在 1252 名接受产前预约的孕妇中，94.1%（=1178）接受了检测前咨询，96.3%（1134）选择进行 HIV 检测，在整个连续体中，3.8%（=43）的妇女 HIV 检测呈阳性。产后 6 周的保留率为 67.4%。整个方案中都存在错失机会的情况，最高的脱失率为 58.9%（23/39）发生在产前。也记录到了重新参与的情况。在整个方案中建立促进保留的措施对于确保感染 HIV 的母亲保持健康以及其暴露的新生儿没有感染 HIV 至关重要。本研究阶段在没有任何基线的情况下提供了保留的全面情况。
